4723 Beacon Hill RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4723 Beacon Hill Rd
Lot: 5 Block: 7 Addition: Beacon Hill
PID:10- 13500- 050 -07
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Plaza Homes
13396 Huron Ct
Apple Valley MN 55124
(952) 891 -6028
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Albert E Patten
4723 Beacon Hill Rd
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA086763
10/10/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
'W EAGAN
Pilot Knob Roed
, MN 55122
WATER SERVICE PEitMIT
PERMIT NO.:
DATE:
Zoning: _ No. of Units:
Owner:
Addreu:
SiTe Address:
Plumber:
Meter No.: Connection Chorge:
Size: Actount Deposit:
Reader No.: Permit Fee:
1 agroe to comply with the City oF Eagan Surcharge:
Ordinanees. Misc. Chorges:
Total:
By Date Poid:
Date of I nsp.: I nsp.:
_. vr EAGAN
37;A5 Pilot Knob Rood
Eagan, MN 55122
Zoning: _
Owner:
Address:
Site Address:
P(umber. ? P,
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
nrnriT i l 1 Q ]in??l i ? St
I agree to eompiy witfi the Cily of Eagan
Qrdinances.
By -
Dote of Insp.:
7 Baa.con Hills
'.00.001 ,.
Connection Chorge: _ 25 - QQ ?t'•
Account Deposit:
Permit Fee:
Surthorge:
Misc. Chorges:
Total:
Date Paid:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
Water _ PERMIT
Dote: u/ 26 / 7 9
! ^- - -
Site Address:
Lot -?- Block Sub/Sec.
Nome JOhn }? <.n r, ,. ,
? Address Beacon ,_iL', ,-i .
City -- . -r,r Phone:
Nome COr=ET'S SOi t watP7'
.
? Address ." '
?
V - - , City ' Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Statutes and City of Eagan Ordinances.
No.
16805
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
NewfAlter./Repoir
Cost of Instcllation _
5.;.
Permit Fee
SurcFwrge
I Total
done in accordcnce wlth oll appliwble Stote of
Building Official
s . CITY OF EAGAN
. 3795 Pilot Knob Road Eegan, MN 55122 N! 5344
PHONE: 454-8100
BUILDING PERMR Receipt #
To Iw uad for • Esc. Value Dote 19
SJte Address Erect
?
Occupanty
Lot 81otk Sec/Sub. AlTer p Zonin9
Portel # Repair p F(re Zone
Enlarpe p Type of Const.
W N0'T1e Move ? # Stories
I Address Demolish ? Front ft.
c'iw ,,..e Grode fl Depth ft.
? Na? .. ??X tiOtI1C 5
Z?_ ; 5 ?cr,-? :ill C~.,
o U Address .
U? r,... a...__ (.54- 57
Name _
Address
1 hereby acknowledge that I have rend this applicotion und state that
the informatlon fs correct ond ogree to comply with all appliccble
State of Minnesota 5tatutes ond City of Eogan Ordinances.
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off. _
APC
Permit
$urchorge
Plan check
SAC
Water Conn.
Water Meter
Total
$ignoture of Permittee I
•?.;?:
A Building Permit is issued to: on the express condition thot
oll work sholl be done in accordance with all oppliwble State of Minnesota Statutes and City of Eagon Ordimnces.
Building Official
?
Pffmk # DoM Isausd PwmNtM
Plumbing . ? 16 0 g `/S --241 h ?- You,
Mechanicol "] 6
INSPECTIONS DATE INSP. ?I
(^
/S
pV' Final
Footings Dote V
Insp. Date Irqp.
Foundation Plumbing
Freme/ins. 30 - _
/(Z Mechanlwl
Final o?/t
Remarks:
7- '
CITY OF EAGAN PERMIT TYPE:
?3830 Pilot Knob Road Permit Number:
?
i Eagan, Minnesota 55122-1897 Date Issued: `?•' ? ?' `? i
(612) 681-4675
SITE ADDRESS:
,
!:i 1 - 19 t+rd Ji i i t
PERMIT SUBTYPE:
111 ',: , INti
F
L
APPLICANT:
TYPE OF WORK:
f t 1(> !1 T f
t:; .?; ??,,:;,t rrr-s?uc?i
?
?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? --- -
INSPEC'
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
0
RECURD
PERAAIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
( i,! :.' ? itr.. t .'fl?•,!
TYPE OF WORK:
Hti r1 1+ r Nti
A:>(4.';'A
] 11) 4l96
INSPECTION .. . ..
?
Permft No. Permit Holder Dete Telephone M
ELECTRIC
PLUMBING
HVAC
inspection Date Insp. Comments
FOOTINGS -?,/ G 7
SLj
FOUND
FRAMIN(3
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RDiJGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDO FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? oc /
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, , , v• . .
SITE ADDRESS: , ,, 1 ,,
t-A At ON ii'i 1 i oil
r?t_ i?N N 1 I 1
,1;1111.1)iN
PERMIT SUBTYPE:
- - I •+ vr
APPLICANT:
( n 1.' ? H ?y I.' 4 (
TYPE OF WORK:
r`,I 11=f?Al TOM
;,. , ; ; I , , r, (riNE RE t1kWIM )
INSPECTION D. . .,
" -rIpl,
Cities
iQital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Pe?mit No. PermR Holder Date Telephone t
ELECTRIC
PLUMBING
HVAC
inspectlon Deta Insp. Commenta
FOOTINGS
FOUND
FRAMING ? 7V
ROOFING
FOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST // ry
FINAL PLBC
FINAL HTG
CITY OF EAGAN
° sT T 681-4675
BLDG FINAL
CORRECT
sstierR.i. BEFORE COVERING
BSMT FINAL I IrXV? MPf 0LAIV5 IN
DECK FTG i ?'JC/1711? ttj,?j'Zzi ejL,`v*//&
DECK FINAL 7, -" " ^ols?? ???U&Qg
? ?2lLON ? 00'15X?
,
Inspector Date ?
?
Call for Relnspectbn
uf Orrupanry
Citp of (Eagan
mrpttrtmrttf id guildwg
Tbit Ccrti ficatt istxtd pxrtiraAt to tbc rrquircnunt.r o f Satimr 306 o f tlx Uni forru Building
Cadt urtifying tfiat ett the tdmc of iasxance tbis jtrmctkn war in cmpliance wrth tbe varioru
ordixaxcet o f tbe City ng,Uiwg bxildmg mn+rrcrien or xse. For rix following:
Ct.
LaWI
.?: na le peterg.nn
uW: 11/21/79
IVIT IN A OOMIMK{qW 1{AC{
CITY OF EAGAN Remarks
Addition BEACON HILL ROAD Lot 5 Blk 7 Parcel 10 13500 050 07
owner Iho L. :Ll;x,,? jVi. street 4723 Beacon Hill Road State Eaaan, MQV 45122
' Improvement Date mount Annual Years Payment Receipt Date
STREETSURF, 1982 ,93 200.77 9 1806.93 C007604 10-1-81
STREET RESTOR. F
GRAOING
1982 52
46
58. 50
9 --52646
•
04
10- -81
SAN SEW TRUNK ? 99.73 A090199 9127/79
* SEWERLATERAL 5 1982 3116.46 346.27 9 3 C007604 1-1-81
WATERMAIN
* WATER LATERAL 19$2 Q
WATER AREA Sj 19$2 109.01 22.00
9
007604
10-1-81
* Stubs 1982 9
STORM SEW TRK 1982 359.82 39.98 9 • 10-1-81
* STORM SEW LAT 19$2 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5344
SAC r t
PARK
T'his;request;aoid 18 months from
r:
Date of this Request QR 97402
I, oLicensed Electncal ontractor ? Owner, dq hereby request inspection of the above electri-
cal wiring installed at: .,5-_ 7
Street Address or Route No. IJEACAt4 RiLL (Ww c{,y &;?m
On Township Range County 1\
??",
Which is occupied by
?NTIE-V, 1 1(
Is a roughin inspection required on this jo6? No ? YeZ2L_ Ready Now ? Will Cafl%?
Power Supplier R Address
Electrical Contractor U u- Ei_F_CT1`-oL- Contractor's License NA2oo
(GOmpany Name) `?
Mailing Address Iql I ?- „ U?'F Q? /?SV/1.LE.
Authorized Signature
or
f? Jclecincaizoncracror [o?r uwnef maNing l nls Installatlon) '
????? ??y?? This impection request will not be accepted 6y the
?? q???
?;,a dr Stste Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
1954 Unrversity Ave., St. Paul, Minn. 55104-Phone 645-7703
QUEST FOR ELECTRICAL INSPECTION
tiHECK ELOW WORK COVERED BY THIS REQUEST
ll.-Z'??
R 97402
Type of Building New Add. Rep, Check Appliances Wired Foi Check Equipment W'ved Fo:
Home (5L ? ? Rangc Tempocary Wi[ing ?
Duplex ?? ? Water Heater ? Lighting Fuctuies (k
t. Bldg. ?? ? Dryei ? Electric Healing ?
mercial Bldg. ? ? ? Fumac:e Silo Unloader ?
strial Bldg. ?? ? A'v Conditioner ? Bulk Milk Tank ?
Faim ? ? ? List
) List )
dthex
? ?
? p
";
Heheisl }
..'? p
Heiersl }
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feed dSuti{gedeCS: IF Fee Ciccuits: # Fce
0 to 100 Am s. in eies 0 to 30 Am eres
101 to 200 Amps. 1 Am` eres 31 to 100 Am ec es
Above 200 Amps. Amps.
4
M bove lOQ Am s.
Transformers Paz[ialorotherfee c
al lns ection
i Minimum Cee $5.00
Remarks
TOTALFE ?U, o ?/
ryU,S
I, the Electrical lnspector, hereby certify? hat the o infpection has been maZ? ?p
(Rough-in) Date
(Final) J ? Date
This request void 18 months from ''
/ OFFICE USE ONLY This requaN wid 16 months Fom mlidat?ionj dale p?rinjted' ihis boz.
- \ ?iY ?/?
IIIIIIIIII??IIIIIII I IIII II I I?II III I??'??? ? w V
?
? ,(j?
* 0 4 3 5 6 3 7 4 t PLEASE PRINT OR TYPE
Request Dak RougMin inspecfion reqoired2 Yez ? No Inspeclion Oiher Than Roughln: ? Fcady Now 0 W"?II Call
y
'Z + 3/-? L (Vou m?si call rhe inspeclor when ready) Dob Reody
I, 0 licensed conhactor ? owner hereby request inspeclion of the above eleclrical work at:
lob Address (Smeei, Box, or kouk No.) Ciry Zip Code
47a3-y7eAcOA?V-1,1 ?? ,4 w
Setlion No. Tow?ship Name or No. Range No. Fire N. Counly
A
Ocwpont , phona No.
? Lby- (?O p ?
n
Power Supplkr Address
Ekchicol Controcror (Company
No
me) Conrcocror Gcrose No. Moster Gc. No. ?Phnl Elecl. Only)
t
/
?"? L?G G r /P d V
Moilieg Address (Conhocror ar Owner erforming Insbllation)
-
/s Z)a
e
,
A. SignoNm nha
dor
r Owner Performing Insmllotion) %wne No.
,
1
W C
tBW001A-118/96 ST11W90AfiOCOPV-SEFINRTPIIOTtlN5ON8lCKf]FYELLOWCOPV
7
4 5-637"41
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Slate Board of Eledriciry
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phcne (612) 642-0800
Home Du lez Apt. eldg. Other: New Addn
Commercial Induslrial farm Remod Re ir
Air Cond. Htg. Equi . Waler Hta Load Mgmt. Other:
Dryer Ronge Elec. Heal Tem . Service
"X" above ihe wark covered by this requesf. Enter remarks in ihis spoce and on die back of fhe white copy only.
135m-T- RP.Lt-Vo.,,
`?.??''''??
rI? 1'? ? LL " V lu
1
Calculate Inspection Fee - This Inspection Requesf will not be accepted wifhouf the mrrect (ee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 fo 200 Amps 0 Amps
Sheef lfg./Traific Sig. Above 200_Am -? Above 1 0_Amps
Transkrmer/Genemtor INSPECTOq'S USE ON
'
- TOT L
$ign/Outline L}g. Xfmr. ?
Alarm/Remote Conhol ?
Swimming Pool ,
I here ceni Poa e el ical in iion exribed herein on the dotes i
Irrigation Boom eougMn Dme
Speciollnspection
Investigafive Fee Finol
(
THIS INS7ALLATION MAY BE OR REO SC NFC IF Ni1T COMPLETEO WITHIN B N S.
-?O,SU
'` 'YJ.?Ll 2005 RE3IDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete £or: single family dwellings & townhomes/wndos when pami[s aze required for each unit
Date lL / 1 Li 1015
Site Address `'f f'? 1?) aVlLCO ?+ I I
?? . Unit #
Property Owner P 1-'ck1 I cn Telephone #( )
Contractor Lm z-` an
StreetAddresa ?
State ( V 1 ?I V
Bond tl: 0:7?`4 W Wl I wu
Zip .JJ
Wo? I Eapires: City ILJ
?m Telephone # ( 0,?R/l// MWl )
The Applicant is _ Owner !\ Contractor _ Other
Add-on or alteration to esisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? air conditioner ?(
_New / `ReplacemeM
other
State Surcharge $ 50
Total $
I hereby apply for a Residenrial Mechanical Pernut and aclawwledge that the informaflon is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pemtit, and work is not to start without a petmit; Hhat the work will be in accordance with the
a ed plan in [he case of work wlvch requires a review and approval of plans. -
7m RC11\ll `1Cf i l &MV-0; '7-7=?
Applicant's Printed Name Applicant's Signatwe ?i
7 7[;
I
-- - -_ ;
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConsVUCtlon Reouiremanb
• 3 registered site surveys showing sq, R of bt, sq. ft. of house; aiM all rooted areas
(20% maximum lat covemge allowed)
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc.)
• 1 set of Energy CalcWations
• 3 copies of Tree Preservation Plan'rf lot platted after 711193
. Rim Joist Detail Optpns belection sheet (Mdgs wAh 3 w less wils)
DATE +_ 1J IO Z-
SITE ADC
TYPE OF
APPLICANT ?LALJ'T
NC-4 e
ULTI-FAMILY BLDG Y ?N
PIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS ffU?ZO(V CT - CITYLWLLVA(?CTSTATENPN ZIP,D-)/Z--r
TELEPHONE &L- Fi`II - L67-8 CELL PHONE # 60IZ ' SI - O77 FAX # q S?- t-3 - UO _]
PROPERTY OWNER _A L,4' J? ? Pg7r-IEN TELEPHONE # (&51 - 688 - 60 2
COMPLETE FOR ?NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RUI.ES 7670 CATEGORY 1 MI.?tAiIvSOQI:A-RLdLFS-7672 -_
(J submission type) • Residential Ventllation Category 1 Worksheet Submitted • Ne Energy CoBe Worksheet Submitted
• Energy Envelope Calculations Submitted °
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Contractor:
Mechanical systein includes:
Sewer/Water Coniractor;
Air Conditioning
Heat Recovery System
Fee: $70.00
Phone #
Phone #
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O\dinances\ „
Signature of Applicant
jPj,4ZA
OFFICE USE ONLY
_ Water Softener
_ Water Heater
No. of Baths
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
RamodeURaoair Reouiremants
. 2 copies of plan
. 1 set of Eneryy Calculations for heated additions
• t sde survey for extenor addi6ons & decks
* Indicate if home served by septic system for additions
VALUATION
-?_-,
= -_ -Fee: $90:00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
' Updated 4102
:
itESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNUB R0, EACAN MN 55122
651-681-4675
New Construction Reouirements
. 3 regislered site surveys shovnng sq. ft. of Iot sq. ft. of house; and all roofed areas
(20%manimum lot crnerage allowed)
• 2 copies of plan showing heam 8 window sizes; poured found dwgn, etc.)
• 1 set of Energy Calcula6ons
• 3 copies of Tree Preserva6on Plan ii lot pladed after 711N3
• Rim Joist Detail Options selection sheet (bldgs with 3 orle&5 unils)
DATE 9 /l S /O Z
SITEADDRESS'Q"7Z-3 &Ac6hl i4lLL {ZO. MULTI-FAMILYBLDG _Y XN
TYPEOFWORK/QbhMOI\I., KITGNEAI REMODEL..1 1544IREPLACE(S) XO _ 1 _2
APPLICANT NG •
STREETADDRESS 13,396 NllROh/ CT. CITY STATEtAd ZiPS571_Z_f
TELEPHONE #22-89/-60L8 CELL PHONE #/n!Z - SIZ" 6773 FAX #qSZ' ?53 "I I 07
PROPERTY OWNER AL°F' S(j.F -?klmN TELEPHONE #651 ' 4088 ' n09 7
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Code Category
9 ^?D
umbing Contractor:
Pluenbing system includes:
??-/ C, 6S-
RemodeUReoairReauirements
. 2 copies of plan
• 1 setof Eneryy Calcula6ons for heated additions
• i sAe survey tor extedor additlons & decks
. Indicate rf home served by septic system For additiore
VVI- n "`
VALUATION 4 26, occ
`Water Softener
Water Heater
Y2- No. of Baths
Phone #
97
Lawn Sprinkler
No. of R.I. Baths
Mechanical Contractor. F._RL-:1w1r I` '<i6 ?
Mcclimical systcm includcs: _ Air Conditioning
_ Heat Rccovery SysLem
Sewer/Water Contractor:
Phone # ta? ! -' fS ?_ r Z -7 r Y
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, stote that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan,0rdinancVs.1 _
Signafure of Appllcant
OFFICE USE ONLY
M[NNESOTA RULES 7670 CATCGORY 1 MINNESOTA RULES 7672
• ReSidential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calwla6ons Submitted
Fee: $90.00
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
?( 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
X 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
O 30 Accessory Bldg
O 31 E#. Att - Multi
? 33 Ext. Alt - SF
0 38 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 36 Move Bldg. 0 42 Oemolish (Foundation) O 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof 0 46 WindowslDoors
'Demolition (Entlre Bldg only) - Give PCA handout to appllcant
y3N
-+-
__VkS_)
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
JL3-u2
?
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
.
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footutgs (addition) _ plunibing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
----------------------°-----------
Base Fee ----------- _____________________?-------? W ?
?V1?Se?
Surcharge
Plan Review
MGES SAC
City SAC
W
t
S
l
& St
a
er
upp
y
orage
5&W Permit & Surcharge
Treatment Plant Y1 ?? vY-%- IL
Plumbing Pertnit
Mechanical Permit
License Search
Copies „ ! n
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 70-plex ? 19 Lower Level
? 12 12-piex Plbg_Y or_ N
ALUpNT MECHANICAL '
HEAT LO55 CALQUTAiION
5UILDER: PLAlAHOMCS, INC,
J08 SIYE: 4723 BEACON XILL Rd4D. EAG4N, MNM
OWNERS:ALAMDSUEPATiEN
ROOM: BAlEMENT (INCWOES ADpITIOx)
!WIHDOW •INFIl7R ATICNAtlDAREA
N0.
i? 2.0 Wp7M
5.5 MGT LNLFT?REA
4.0 30.01 28.D
4.01
._. 2.5?
. .
I
-3.01 4.0 28.O?I 20.?!
± . .__._
T.0
2DA 2l.D;
i
-
I I a o I tLB
, HTG I HtG I
? CLC i ClG
MFILTpA -_
ION•G i 0 0
a 9.! (,6EF OTUI
7E?1 ? 218i 1805,51 COEF
4.11 BTUN
307.e
ARFJ1•G aBOi $0.0' 3469.9i 069 2B22.O
COORS I
-
_?:0. . 7.0
.
].0 7,0, 0.0 0.0
INFILTRF? IDN-000 S 2M1.0 R7.9 flB7.0 h.i 1]6.5
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f???170?'d £6?'iSbIS9[;:?ad? Tdj I?t?H) 3W IN?I1?b8G?8? i??7-8'-d?S
MNcheck COMPLIANCE REEORT
Minnesota Energy Code
MNcheck Software Version 3_0
Jcb 5?' &f'72-3 ?3?acanlfifl Rocrd,EaS?-n
COIINTY: Dakota
STATE: Mznnesota
ZONE: 2
CONSTRUCTION TYPE:
DATM: 9-26-2002
COMPLIANCB: PASSES
Required IIA = 991
Your Home = 931
12.3% Better Than
Single Family
Code
Pe.rmit #
Checked by/G.c-e
Area or Cavity Cont. Glazinq/Dcr-
Perimeter
------------- ---- R-Valu e R-Va].ue U-Value
------------- ----
CEILINGS 234 -------
44_0 ---------
010
_
----------
CEILINGS 990 39_0 0.0
WALLS: Wvod k'rame, 16" O.C. 294 19.0 0.0
WALLS: Wood Frame, 16" O.C. 1952 11.0 0.0 ?
BSMT: Wood 8.0' ht/0.0' bg/8.0' insul 288 19.0 0.0
BSMT: Conc. B.0' he/7_0' bq/B_D' insul 928 11.0 0.0
BSMT: Woad 8.0' ht/0.0' bg18.0' insul 70 11.0 0.0
GLAZING: Windows or poors, Above Grade 268 0.360
DOORS 89 0.900
HVAC EQUIPMENT: Eurnace, 92.0 AFUE
------------- ° --------
---------------° - ---
COMPLIANCE STATEMENT: The proposed buiiding -------
design ---------
described -----°---. _
here is
coneistent with the buzlding plans, specitications, and oL-her caJ.culat•?':::,
submitted with the permit application. The proposed builcting has been
deslgned to meet the requirements of the Minnesota E nerqy Code.
Builder/Desxgner *dnAYS, )kc Date 9h4IC7a-
?? • b ? ? ?k 1( ?awt A4pch,, 1 M-c.. _-
'e, e,k
?;?? irv
Z?0/200'd E6?L246159f (Xdd) ?d?INdH??? ?NV1?9? I4? li (JHJ)7OO7-0--?.7;
34
v
r
?
f..
?r.
WR? -77G ,4?
SCALE: 2 irteh - 33 feat
r f1 Ber. ? tes or^oos ?:= fic.? ahbd 3rade
9EtdC'OIA°K: e:=it3r_. ?+'.1i. a* west
interseat2o:? -??acon.:'.I'1 Road 3nd
Cavi^.5ton Iar.e --iera!`_ir.- 934.92 ft.
7 °v
Top of Block
sarage flaor
Basement Tloor
i hereby certi J that tnis is s trle arid correct representatiors o°
Iat 5, Block 7, BEACCid HILL, according to the reeorded olat ther@of,
DakoLa vou:ity, Miruzesota.
Dated; May 3^, 1979
-1?
Revised to =how prnposeo hi-14
le
. ,, .
'?, .. ; ' ' -',".? ?'•?,?:?
?.,..', ? ? ? ,L. ?'? ?.?•r ,, -?-
? ?- PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuzLozNe
Eagan, Minnesota 55122-1897 Permit Number: 029221
(612) 681-4675 Date Issued: 11 j14 J96
SITE ADDRESS:
4723 BEACON HILL RO
LOT: 5 BLOCK: 7
BEACON HILL
P.I.N.: 10-13500-050-07
DESCRIPTION:
r? (QNE BEDROOM)
tLiltlin?,?,Permit Type BASEMENT FTNISM
uilding WQ,rk Type ALTERATION
ensUs GOde'?. ?, 434 ALT. RESIpENTIAL
? i
,
J
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50 '
Tota1 Fee $50.50
COPITRACTOR: - Applicant - ST. LIC OWNER:
NORDIC WINDOW CO 18612461 0009023 PATTEN AL
5736 NTCOLLE7 AVE 4723 BERCON HILL RD
M,INNEAPOLIS MN 55419 EA6AN MN
(612) 861-2461 (612)688-0097
. '?1 . _ .. . _ .. . . . .. . . . . . . ..,. ; ,i .=. .
S hereby acknowladge that I have read this application and etate that the
informsation is cot^recC`?antl egreeto.comply'with al2 applicab.Le.Btate:tlf .Mn.,,
Statutes and City of Eagan Ordinances.
,/?^j??7?` ?.,? ,.? Ntn oi? I 111 Z?
'" ' APPLICAN ERMITEE SIGNATURE ISSUED : SI NATU E
?
• 3 ieqisterod site surveys
? 2 oopies o1 plans (indklde baam d wlndow Sizes; poursd W. ysapn: ete.)
• 1 snergy eakutatiena -
? 9 copies of tree preservotlon plan if bt pUqed atter 711/93
mquired: _ Yaa s Ho
DATE: /ll ?4 I??i? CO
DESCRIPTION OF WORK:
STREETADDRESS: !?'?a3 ???-?'dvl g,`Il Ed
LOT ? BLOCK ? SUBD./P.I.D. #: ?Q-
PROPERTY Name:1_-t / P ?q&n Phone #:
OWNER W* .?
t*
Streef Address ?7?-? '
?i ?fi )I c?,
Cih+: State: m Zip•
CoHTRacroR Company: U 'd C 9 'VlJ W Phone #:
Street Address: lV (GO 8z°t A/License #• ?d23
City: -/ VI o /(S State: IR/). Zrp. 5.
ARCHITECT! Company: Phone #•
ENGINEER
Name: Registration #•
Street Address•
CITY OF EAGAN
3830 PILOT KN08 RD - 55422
1896 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681 -4675
? 2 copka of plan
? 2 aNe surveys (exterior addiNona d tledcs)
? t anergy calwlatione for healed adddions
COST: /lr 4 5l o . ?b
C?rY: State: Zip:,
Sewer 8 water licensed plumber: Penalty appiies when address change and lot
chenge are roquested once pertnit is issued. •
i hereby admowledge 9hat I have tead this applipBon and state that the intortnaHon i rrect and ag2e to eomply wkh all
appGcable State of Minnesota Statutea and City o( Eagan Ordinances. ?L?L
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservatlon Plan Received _ Yes _ No
OFFICE USE ONLY
e
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt.lLodging ,a'- 16 Basement Finish
0 02 SF Dwelling o 07 4plex o 12 Muiti Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 ; , _ plex o 15 Deck
WORK TYPE
? 31 New 0'33 Aiterations a 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main levei sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Variance
a,
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Waier Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
ToWI:
MC/WS System ?
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. v34
SAC Code ?L
Census Bidg ?
Census Unit o
? Engineering
Valuation: $
% SAC
SAC Units
. , PERMIT
' CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 Z 2 0
(612) 681-4675 Date Issued: 11 / 14 / 9 6
SITE ADDRESS:
9723 BEACON HILL RD
LOT: 5 BLOCK: 7
BEACON HILL
P.I.N.: 10-13500-050-67
DESCRIPTION:
Btiilding;_.Permit Type
iBrtlldinc}'Wb,rk Type
ansus Code
? - ?
DECK
NEW
434 ALT. RESIDENTIAL
5 d
r a p
? .. .... i.:...
REMARKS:
FEE SUMMARY:
Base Fee $45.00 COPIES $5.50
Surcharge $.50 Total Fee $51.00
Subtotal $45.50
COVTRACTOR: - Flpplicant - sT. LIC OWNER:
NORDIC WINpOW Ctl 18612461 0009023 PATTEN AL
5736 NICOLLET AVE 4723 BEACON HILL RD
MIAINEAPOLTS MN 55419 EAGAN MN
(612) 861-2461 (612)688-0097
I hereby acknowl'edge that I have read''thi5 applicati-on and starte that the
infiormati?nnis correct and ag-ree ta camply with all. appk,ieahle;State ofi Mn.
5tatutes and. City of Eagan,Ordi;nances,,
APPLIC RMITEE SIGNATURE S E : SI A EV- .
J
4L cinr o- E,e,cAN
to
?3830 PILOT KNOB RD - 55122 ?Jj, oo
1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681-46T5
? 3 reqisterod site furveys ? 2 cppKS of Dlan
? 2 copbs of piam (MGude Deam 8 windaw aizes; peured Ind, detlpn; atc.) ? 2 site funeys (exterlor additions 6 tlecks)
? t errorqy alculatWne ? 1 ene
rgy wkulationa for Asaled addi(ions
? J mpise ot tree prepnation plon M bt plaryed aRer 717/93
+eawhed•- _ res _ No
DATE: 1I?1? ? CONSTRUCTION COST: -,• ?a?? ?
DESCRIPTION OF WORK:
STREET ADDRESS: `. 1r?
LOT -?_ BLOCK ?
n
SUBD.IP.I.Q. #: ? 14/lAdTl?'?ijl.
PROPER7Y Name: _A Phone #:
OVYNER ?••• ?•, II I?-?
Street Address- "7:2a I7
City: vt State: ? Zip.
CONTRACTOR Company: hV4C Win,joV (1?. Phone #:
Street Address: J??3?o lV ( Gb lIy°'? ?U License #•
Ciry: j/1 / S state: IVIU - Zip• ,?Syl q
ARCHITECT/ Company: Phone #'
ENGINEER
Name: Registratian #•
Street Address•
CitY: State: Zip:
Sewer & water ticensed plumber:
change are requested once permit is issued.
Penalty applies when address ehange and lot
i here6y acknowledge that I have ?ead tfiis applip8on and state that the In/ormaHon ia cortect and agree to compty with ail
appliqble State oT Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: ''?auS_?!1?Lf,Qa???1.?
OFFICE USE ONLY
Certificates ot Survey ReceNed _ Yes _ No
Tree Preservation Plan Received - Yes _ No
N
.c' .
, .
rNl . 'jKp.
?
:
? •5? .. E y Ti ,r"u
.
?N
F
,
c?
,
n
l
? r
C
r `:,,,.
B4E/
a
? SCALP.: 1. ineh ? 30i'eet
Deisotes prepo8ed flni3hed grade
`?---`
HMICHMARK;s-'^op sa.r:itarJ X.H. at west
f:ntei^aeclon :); 3eacen Hi1.1 Road, and
C.ovi.?^.gton;r;Iane -7-evat' on- 934.92 _'* ,
".+s'C "S_..x?yi •
? .?.? . . -
k ?
S ?
f
Top of.Block
.saxage floor
Hasement Ploor.I
:. RK
i V.
t aereby certi";; *,hat tnis ia a'nue and correct representatiois of ` -
:-ot :, 31ock 7, 3r,ACCN HILi., aecora:.ng ?-) .ne recorded plat th@Y'ECPr
Dakota ^ount-y, `ainnesota. :
Dated: A1ay 3", : ?7q
RcVLSed `.o 'd:1 ??
JW :.Tt7';iGSP :';OI.i3C? ._ . .. ° xr.;..
'`-
` .
MINNESO'TA REGISTRASION.,NO.Bl26..?t'
? - CITY OF EAGAN
3795 Pilot Knob Read Eagan, MN 55122 N2- 5344
aNONE• esasioo
BUILDING PERMIT APPLICATION $58, 000. Receipt # L_
To 6e wed for SF Dwlg. Est. Value poTe Au$ 3 19 79
Sire Address 4723 Beacon Hill Rd. Erect [y Occupar,cy R3
Lot 5 B lock ? Sec/Sub. Beacon Hill Alter ? Zoniny Rl
Pa?? # 10 13500 O50 07 Repair ? Fire zone 3
Enlarge ? Type of Const. V
z Name Move ? # Stories
=
0 Address Demolish ? Front 50 ft.
Ci Phone Grode ? Depth 36 ft.
? Name Centex Homes Aov?o.ats Fees
z? 4615 Beaton Hill Ct. Assessment$/? Permit 152.50
? Addreu
454
5236
E
Water & Sew.
Surcharge 29.00
Ci -
agan Phone 25
76
Police .
Plan check
Fw Nome Fire SAC 525.00
Addrew Eng. WMer Conn. 270.00
aw Ci Phone Planner _
Council _
I hereby acknowledge that I have read this applicotian and state that gldg. Off. -
the information is correct ond agree to tomply with all opplicoble
$tote of Minnesoto Statutes and City of Eagan Ordinances. APC
Signature of Permittee -
A Building Permit is issued to:
oll work shall be done in acco
Water Meter 60.00
Rd Unit 75.00
?-
Total
on the express condition that
of Minnesota Statutes ond City of Eogon Ordirwnces.
Building Official
? -
MODEL #536 ELEV. "A"
nnTe 7/25/79
BUILpING PERMIT APFLICI\TION
Include 2 sets of plana, 1 aite plan w/elevatioris and 1 set of energy calculations.
Rb be osed fos uOME
Site Address; 4723 BEACON HILL RD.
5 7 BEACON HILL
Lot Block Sec SuD.
Uaner
Address
Gbntractor CENTEX HOMES MIDWEST
Address 4(oIS l En,wN Wu, T.
Arch. /Eng .
Addresa
Valu3tion SR ,o(10
Parcel Number /D /??DD 03 D OJ
Telephone
Telephane 454-5236
Telephone
OFFICE USE
Erect X
Alter
Repair
I•hlarge
Move
nemolish
GraAe
OFFICE USB
Date of A pproval & 2nitial
AssesamenL
Waier/Sewer
Police
Fire
tnq.
Planner
Council
Riay, oft.
A.P.C.
Occupancy ?
2oning
Pire Zone .?
Type of Const.
# of Stories
Front So
Depth 3 fo
FEES
Pesmit 52u.IQ_
Surofiarge'--.._..?- - 29.._0.0?
rixp Check gm:r
SAC c?
Ftater Conn. 9;10nn
6/atCt Metel ^ c n n n _
Rnarl iini4- 'lc nn
marnr. , , a '7 '7 ti _
!????7
M
0
1?)r
r,
.?
?..
. .. . . . 1'4 A (n . y 1 ..
oov!t3.f1C8te POr.s
contex Somee 141dsrest InC.
86rn Nrneli Road -
Sden ft?airie, Mn. 55344 : ,.
QELMAR H. SGHWAN Z . ??
. WLNOfUf7VQYOR . ? - . . RMrWM UNw l&w$ el TMSt11to af MMnNCON . e
iM - 11L1"!t ITREET W. -IOX N 1105lNOUNT.,MINNiIOTA M061 #NpHE 6111 7W .
: r - - -- ?? ---_
?"•Fk.'a:?:p?c ?,,,- ;?i,:.-r
?
`
•URV EYdAB CER1'1 F (CATE
j
W
? Iff?7
?- #
i?•`' (?`
??
q ?
, ?... SG .
lb.c,c ?,lju?
/4"/
>3
seaU: 2 zneh -? 30 rect
`!'op e:±.nitar;; G',r? ,at w^ct
inL-emc^et3.un of Beacon 1-121 -xstl
Guvi-ar,tar? Lano Llevation- 3'31.?7 ?'t .
dhti r? j
r
?
?J
IW
? V
?
?
?
v
y?
?fj
?
,
?
K '
? ?. .f.
??..
i .
?'.
Gar::.ge £2or,r ----
13_wemnsi¢ floor
Z horeb,y certiFy that thin 9.a F, trua and oorrceti rrnr-nacntat?on TA
IAot 5, Bloek 70 DF,&COV IiILL, necoritlng ti thr mco^raod pl,at YiiFre,)f,
Dalsota Gounty, t•.inneeot.b.
Dated; R1ey 3Q, 1979
Y?evi.s::rl to shoty prapooec houau 7-24-7_>
:
•
? , .
r , ,
MIWNESOTA REGISTRATION N0.8626 ?, ??
9
L 5 gL -7 CITY USE ONLY RECEIPT #: ?P33
SUBD. ?t..- /d?XK • DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please.complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: /0 9/?[Q
FFFG
? Minimum Fee: Add-on/Remodel (existing residence only $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Q$3.00 each)
? State Surcharge .50
TOTAL 2L,?
SITE
OWNER NAME: 41 f 0&Y?? PHONE #: ? /
INSTALLER
STREET ADDRESS: /'T /7"? ?? k(,ILt?,C T /Z i
CITY: STATE:M&Y ZIP: ie?--
PHONE #: (lp??) ya?-i??
IQ
/n0-3/
.??,i?rr-?e
4'/..Ek)
L -6 gL ?y CITY USE ONLY RECEIPT #: "ff3340
/
SUBD. ? ??JCX DATE: 4 -xC) 9
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
• townhomes and condos when permits are required for each unit
FIXTURES
Shower
?ti,...?. .•?......?
•?VIVI V?VVVI'
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
AAr
" inimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
(new and refurbished systems)
U.G. Sprlnkler " home under const.
Alterations ' to existing
Water Turn Around
EACH NQ, T L
3.00 x =
-
a.nn
V
VV
3.00 x =
x =
3.00
3.00 ;c =
3.00 ;c =
3.00 :c =
3.00
;c =
3.00
3.00 s =
1.50 x =
5.00 x =
65.00 _ ? .. _
3.00
20.00
20.00
STATE SURCHARGE
TnT4i
.50
oSCJ 60
SITE ADDRESS: '7 1./'.?:) T
OWNER NAME: A I ALA
INSTALLER NAME:_L'nz-
STREET ADDRESS:10,45
CITY: STATE: M/ ZIP:
PHONE #:
z, h t a, ?'Ieh
j o •- 3/- ?!'?i ??? ?-c?fi
L?'rcc.?.LUrI?"??.'?'ce,..?J p•.. ?=-
eiTY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuzLotns
Permit Number: 0 3 2 9 7 5
Date Issued: 0$/21 /g 8
SITE ADDRESS:
P.I.N.: 10-13500-050-07
4723 BEACON HILL,RD
LOT: 5 BLOCK: 7
BEACON HILL
DESCRIPTION:
REROOF
Jldt"r1?-,,Permit Type
Ylding aork 7ype
nsus Code'
`?==
?.?
=?„s
B
B
SF (MI'SC. )
REPAIR
434 AL7. RESIDENTIAL
F ;n <<? _,, - F. 1??--
1
REMARKS:
FEESUMMARY: vALuaTZOH $5,0e0
Base Fee $99.75
Suroharge $2.50
Total Fee $102.25
HDRZWOF'ING _ HPP1i18903900 20012795 OWNER: AL
1333 LARC INDUS7RIAL BLVD 4723 BEACON HILL RD
BURNOVILLE MN 55337 EAGAN MN 55122
(612), 890-3900 (651)688-0997
:
' I hereby acknowledge that I have read th5.s ap;PliGation and state that the
3nfiormation is correct and agree to comply with 611 applicable 5tate of Mn.
5tatutes and Gity of Eagan Ordinano:es.
? ?X?SLJ( chSJ
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
? 1998 BUILDING PERMIT APiPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PII.OT I{NOB RD - 55122
681-4575 I Q
New Construction Reauirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured tnd. design; etc.)
? 1 energy wlculetions
? 3 copies of tree preservation plen H lot Dlatted eRer 7/1/93
required: Yes _ No
DATE:
DESCRI ION OF WORK: -e ?r cs4
ST T ADDRESS:
LoT: 5
PROPERTY
OWNER
BLOCK: ? SUBD./P.I.D.
?? \ k
Name:_A? 74-4Cl'1 Phone #: 0d"' boQ-7
Last First
Street Address: 4-1 a?J 3Vu-.uY?k-A 1`ri•
crty state: M N zip: 55 ! ao
Company: [IU`(1 ZOYI h00?N Phone #: gib--3qco
CONTRACTOR - / ?
Sueet Address: r?33 I W c-t-dus{'6ia1 WvA License # a0?1 o"Z7Z95 ?
City ?YV\5\(4- State: "N Zip: 5-533'7
ARCHITECT/
ENGINEER Company: Phone #:
Registration #:
Street Address:
City
State:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued,
I hereby acknowledge that i have read this application and state that the infortnation is correct and agree to comp'iy,with ali applicabl
State of Minnesota Statutes and City of Eagan Ordinances. _ , xf n? ?7
OPFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
Signature of Applicant: t4°
D
?
_ No
_ No _ Not Requi
RemodeVReoair ReauiremeMS ?
? 2 copies af plan
? 2 site surveys (exterior addkions & tlecks)
? 1 energy ealculations Por heated addHions
CONSTRUCTION COST; $44 9) 06
A',1(' . ,':?C$t
5? W
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete For: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
-5 S6-s-o
Date ( / 14/ 0 ;?
q 7? 6 ?e a-C D K
( L L
V'
Site Address
7'
I Unit #
Property Owner Telep6one # ( )
e
77-
? +N eC
- l rO `
_f
? (
Contractor
J
??sd (?d °? °C
Address ciry
State kh,' ` Zip 5-3-r,,, v Telephone #
The Appticant is _ Ownex ? Contractor _ Other
SeptiC System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultaM fees may apply.
Alterarions To Existing Dwelling Unit, Includiug $ 50.00
Adding fxtures to lower levels or room additions, excluding water soften er and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Watersoftener waterheater
- - JAN 14 2003
$ 15.00
replacement _ additional
State Surcharge $ .50
Total n5 -C)
$ !v
I hereby apply for a Residential Plumbing Pernut and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordivances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requues a review and approval of plans. lz-7
e¢ -e-
ApplicanYs Printed Name ApplicanYs Signa e
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140504
Date Issued:12/27/2016
Permit Category:ePermit
Site Address: 4723 Beacon Hill Rd
Lot:5 Block: 7 Addition: Beacon Hill
PID:10-13500-07-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Albert E Patten
4723 Beacon Hill Rd
Eagan MN 55122
(651) 688-0097
Metro Air
16980 Welcome Ave SE
Prior Lake MN 55372
(952) 447-8124
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140504
Date Issued:12/27/2016
Permit Category:ePermit
Site Address: 4723 Beacon Hill Rd
Lot:5 Block: 7 Addition: Beacon Hill
PID:10-13500-07-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Albert E Patten
4723 Beacon Hill Rd
Eagan MN 55122
(651) 688-0097
Metro Air
16980 Welcome Ave SE
Prior Lake MN 55372
(952) 447-8124
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146492
Date Issued:10/27/2017
Permit Category:ePermit
Site Address: 4723 Beacon Hill Rd
Lot:5 Block: 7 Addition: Beacon Hill
PID:10-13500-07-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Albert E Patten
4723 Beacon Hill Rd
Eagan MN 55122
(652) 248-3406
Peine Plumbing & Heating
P.O. Box 66
Vermillion MN 55085
(651) 463-0155
Applicant/Permitee: Signature Issued By: Signature